Morning Briefing
Summaries of health policy coverage from major news organizations
Different Takes: What To Do With CHIP; Deal With Threats To Obamacare Before Single Payer
CHIP was a shared vision of Republicans and Democrats alike. It seems like ancient history now, but, in 1997, I joined with members from both sides of the aisle to debate health care policy forcefully but productively. Led by Senators Ted Kennedy (D-MA) and Orrin Hatch (R-UT), we crafted the CHIP language. Bipartisan action, so crucial to the health of the country and the economy, was never more important than when it came to insuring America鈥檚 children. Now, two decades later, that progress is in jeopardy. CHIP is set to expire on September 30. (Bill Frist, 9/14)
CHIP, which helps states provide health-care coverage to low-income kids, is better structured than Medicaid to ensure that funds are targeted to those who need assistance most. Now, after the Affordable Care Act has created an entitlement to subsidized coverage through the exchange, CHIP-eligible families are often torn between two programs that fit together poorly. If a few minor flaws in its design are fixed, however, CHIP can fill a gap and enhance the rest of America鈥檚 health-care safety net. (Chris Pope, 9/18)
Before supporters of universal health coverage get all wrapped up debating a single-payer system, they need to focus on a dire threat to the Affordable Care Act likely to come up for a vote in the Senate before the end of the month. The latest repeal bill is an offering from Republican Sens. Lindsey O. Graham (S.C.) and Bill Cassidy (La.) that would tear apart the existing system and replace it with block grants to the states. Block grants 鈥 flows of money for broad purposes with few strings attached 鈥 are a patented way to evade hard policy choices. All the tough decisions are kicked down to state capitals, usually with too little money to achieve the ends the block grant is supposed to realize. (E.J. Dionne, 9/17)
I haven鈥檛 yet read Hillary Clinton鈥檚 鈥淲hat Happened,鈥 but it seems pretty clear to me what did, in fact, happen in 2016. These days, America starts from a baseline of extreme tribalism: 47 or 48 percent of the electorate will vote for any Republican, no matter how terrible, and against any Democrat, no matter how good. This means, in turn, that small things 鈥 journalists acting like mean kids in high school, ganging up on candidates they consider uncool, events that suggest fresh scandal even when there鈥檚 nothing there 鈥 can tip the balance in favor of even the worst candidate imaginable. (Paul Krugman, 9/18)
Thanks to massive grassroots mobilization efforts, our state narrowly averted disaster when Congress failed to pass any version of Affordable Care Act (ACA) repeal that would have restructured Medicaid and left thousands of my constituents without health care coverage. Stopping health care repeal was a huge victory, but the fight is not over yet. Even deeper cuts to Medicaid have been proposed in the 2018 budget resolution, which would slash health care by $1.5 trillion over the next 10 years to pay for billions in tax breaks to the rich and corporations over that same period. (Rep. C.A. 鈥淒utch鈥 Ruppersberger, 9/17)
鈥淢edicare for all,鈥 or 鈥渟ingle-payer,鈥 is becoming a rallying cry for Democrats. This is often accompanied by calls to match the health care coverage of "the rest of the world." But this overlooks a crucial fact: The 鈥渞est of the world鈥 is not all alike. The commonality is universal coverage, but wealthy nations have taken varying approaches to it, some relying heavily on the government (as with single-payer); some relying more on private insurers; others in between. (Aaron E. Carroll and Austin Frakt, 9/18)
Trump administration officials vow that they are going to take care of the health of moms and babies. But their pledge to cut funding to聽Planned Parenthood promises to do the opposite. The proposed cuts have focused not just on the procedure of legal abortion (which is, of course, another column), but also on eliminating access to contraceptives. These proposals聽ignore a fundamental truth: Access to birth control is central to women鈥檚 health. In fact, it always has been. (Lauren MacIvor Thompson, 9/15)